249096 08/27/15 CITY OF CARMEL, INDIANA VENDOR: 364092
ONE CIVIC SQUARE GUNDERSEN NATIONAL CHILD PROTEC41MK AMOUNT: $*******125.00*
:x CARMEL, INDIANA 46032 CENTER ATTN:SUZANNE SEVERSON CHECK NUMBER: 249096
2021 E HENNEPIN AVE SUITE 360 CHECK DATE: 08/27/15
MINNEAPOLIS MN 55413
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 33032 082015 125.00 TRAINING
INVOICE
August 20, 2015
Sold to: City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Your First Response to Child Maltreatment Training.
09/25/15
Bentonville, AR
Detective Trent McIntyre $125.00
TOTAL AMOUNT DUE: $125.00
Please make check payable to: Gundersen National Child Protection Training Center
Mail to: Gundersen National Child Protection Training Center
Attn: Suzanne Severson
2021 E Hennepin Ave, Suite 360
Minneapolis, MN 55413
INDIANA RETAIL TAX EXEMPT PAGE
City of
Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
z FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Coundwoon Nmt1®fl@l Child PratGC lon Training Co Comol Police DoP21mont
VENDOR SHIP 3 CIVIC SgUM
2:021 E bonnopin AVo, Oulto TO C@mol, IN 4
Minnoapollo, MN W493 (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
pp,,ccount pp gq�y
9 Each Response to Child Mahreatmold $125.00 $925.00
Saab Total: $925.00
a �
First I°ospenl;o to a11ogofonsO child=OPoa>g� ;:Y u�Me v4gpn, 0125 91 6 ! onylilo,AR
Send Invoice To:
Camol Poilco Dopmrtmont
Aft-- P@9 Young
3 CIVIC squm
Camel, IN 2' PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
mel Police Dept. 25.0
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
i NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY FHJTTHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATI�UFFICIENT TO PAY FOR THE ABOVE ORDER.
•
C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL pp�
SHIPPING LABELS. b I- of Pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE VAND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
)IMA NT CONTROL NO. '13330 32 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
UAMW
VOUCHER NO. WARRANT NO. —
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# i hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except-._-___,__
20
— -------------------------------------
Signature
-- ......... ...._........_-..........................-............------------------
Title
Cost distribution ledger classification if
`I claim paid motor vehicle highway fund
I
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
08/20/15 training - McIntyre $125.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
J
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gundersen National Child Protection Training
IN SUM OF $
2021 E hennepin Ave, Suite 360
Minneapolis, MN 55413
$125.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
33032 -570.00 $125.00
I hereby certify that the attached invoice(s), or
I I
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday ugust 20, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund